PASS CHRISTIAN HEALTH AND REHABILIATION CENTER
538 MENGE AVENUE, PASS CHRISTIAN, MS 39571
FGLFC HOLDCO · 5 facilities
- Provider number (CCN)
- 255287
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Phone
- (228) 452-4344
- CMS data as of
- August 1, 2026
Staffing 0% · Deficiencies +25% over tracking period
What the records show
CMS rates PASS CHRISTIAN HEALTH AND REHABILIATION CENTER 2 out of 5 stars overall, with 3 of 5 for health inspections, 2 of 5 for staffing, 1 of 5 for quality measures. Federal inspectors cited 19 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher, 1 still recorded as uncorrected. CMS enforcement records list 1 fine totalling $8,224.
Reviews, Ratings and Official Records
This page reviews PASS CHRISTIAN HEALTH AND REHABILIATION CENTER using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.51 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
19
Outstanding
1
Actual harm or worse (G–L)
1
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★☆☆☆ (2/5)
Health inspection: ★★★☆☆ (3/5)
Quality: ★☆☆☆☆ (1/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
43/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.51 hrs |
|---|---|
| MS median | 0.57 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 81.8% · Total nursing staff turnover: 71.2%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: September 4, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from August 10, 2022 to June 30, 2026.
Source records: CMS Care Compare profile for provider 255287 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 actual harm issue found among 19 total deficiencies. 18 corrected. — 1 still outstanding
Most recent inspection (April 15, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has plan of correction, corrected August 5, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected May 22, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected October 1, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected May 22, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 1, 2025
Inspection cycle 2 (February 7, 2025)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected March 21, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected March 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected May 21, 2024
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected March 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 22, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 21, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 21, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected March 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected May 21, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected March 21, 2025
Inspection cycle 3 (August 1, 2023)
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 31, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected September 20, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected September 20, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected September 20, 2022
Fines and Enforcement Actions
Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.
| Date | Action | Amount or length |
|---|---|---|
| April 24, 2024 | Fine | $8,224 |
1 fine totalling $8,224.
Source: CMS Penalties file (dataset g6vv-u9sr).
Ownership and Contact Information
- Facility name
- PASS CHRISTIAN HEALTH AND REHABILIATION CENTER
- Legal business name
- 538 MENGE AVENUE OPERATIONS, LLC
- Address
- 538 MENGE AVENUE, PASS CHRISTIAN, MS 39571
- Phone
- (228) 452-4344
- Provider number (CCN)
- 255287
- Ownership type
- For profit - Corporation
- Operator
- FGLFC HOLDCO · 5 facilities
- Medicare/Medicaid certified since
- August 1, 2002
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
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Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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